Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lewis Edwin Swaine death at Sandy Point, Shelburne County on August 17, 1970
Male Death Registration: Year: 1970 number: 5167
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005167
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Swaine, Lewis Edwin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 22, 1892
10. AGE in Years77 Months11 Days26 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 1962 14. Total years 52
15. If married name of spouse Jessie Swaine
16. NAME of Father George Henry Swaine
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Susan Ellen Chetwynd
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Hagel Davis
address Welchtown
Relationship to deceased Sister-in-law
21. Place of burial Clyde River
Date of burial August 20, 1970
22. Undertaker Kenney Funeral Service, Barrington
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 17, 1970
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other
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